title: Anencephalic infants and special relationships.
abstract: This paper investigates the scope and limits of parents' and physicians' obligations to anencephalic newborns. Special attention is paid to the permissibility of harvesting anencephalic organs for transplant. My starting point is to identify the general justification for treating patients in order to benefit third parties. This analysis reveals that the presence of a close relationship between patients and beneficiaries is often crucial to justifying treating in these cases. In particular, the proper interpretation of the Kantian injunction against treating persons as means only takes on a different light in the context of special relationships. The implications of this analysis for our responsibilities to anencephalic infants is clarified.
authors.affiliation: Department of Medical History and Ethics, University of Washington School of Medicine, Seattle 98195.
authors.forename: N S
authors.initials: NS
authors.lastname: Jecker
mesh_terms: D000757:Anencephaly; D026686:Beneficence; D033001:Directed Tissue Donation; D026689:Ethical Analysis; D004992:Ethics, Medical; D005190:Family; D006801:Humans; D007231:Infant, Newborn; D028681:Moral Obligations; D010287:Parent-Child Relations; D033282:Parental Consent; D028723:Personhood; D012151:Resuscitation; D018570:Risk Assessment; D035781:Siblings; D012945:Social Values; D013315:Stress, Psychological; D014019:Tissue Donors; D009927:Tissue and Organ Procurement